DIGESTIVE HEALTH SPECIALISTS, PA (NPI# 1538411145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538411145 |
Entity Type | Organization |
Organization Name | DIGESTIVE HEALTH SPECIALISTS, PA |
Practice Address |
112 Kinderton Blvd Advance NC 27006-7302 |
Mailing Address |
2025 Frontis Plaza Blvd Suite 200 Winston Salem NC 27103-5663 |
Practice Telephone | 3367686211 |
Practice Fax Number | 3367686869 |
Mailing Telephone | 3367686211 |
Mailing Fax Number | 3367686869 |
Enumeration Date | 2012-10-05 |
Last Update Date | 2017-05-01 |
Authorized Official Name | JACQUELYN TILLINGER (CEO) |
Authorized Official Telephone | 3367686211 |
Authorized Official Credential | MHA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275930968 | Digestive Health Specialists, Pa | Internal Medicine | 434 Kirby Rd, Lower Level Suite 6, King, NC 27021-9494 | 2014-11-25 |
1073745485 | Digestive Health Specialists, Pa | Internal Medicine | 112 Kinderton Blvd, Advance, NC 27006 | 2009-08-18 |
1841474384 | Digestive Health Specialists, Pa | Internal Medicine | 137 Mount Calvary Rd, Suite A, Thomasville, NC 27360-3467 | 2007-12-19 |
1912476367 | Digestive Health Specialists, Pa | Clinic/Center | 434 Kirby Rd, King, NC 27021-9494 | 2018-11-15 |
1497209613 | Digestive Health Specialists, Pa | Internal Medicine | 6316 Old Oak Ridge Rd, Greensboro, NC 27410-9939 | 2016-08-04 |
1487090452 | Digestive Health Specialists, Pa | Clinic/Center | 137 Mount Calvary Rd, Suite A, Thomasville, NC 27360-3467 | 2013-05-17 |
1184976797 | Digestive Health Specialists, Pa | Clinic/Center | 280 Broad St, Suite F, Kernersville, NC 27284-2796 | 2012-10-05 |
1346474566 | Digestive Health Specialists, Pa | Internal Medicine | 280 Broad St, Suite F, Kernersville, NC 27284-2796 | 2009-05-04 |
1306005343 | Digestive Health Specialists, Pa | Clinic/Center | 2025 Frontis Plaza Blvd, Suite 200, Winston Salem, NC 27103-5663 | 2008-06-05 |
1801837745 | Digestive Health Specialists, Pa | Internal Medicine | 2025 Frontis Plaza Blvd, Suite 200, Winston-salem, NC 27103-5663 | 2006-06-10 |
Street Address |
112 KINDERTON BLVD |
City | ADVANCE |
State | NC |
Zip Code | 27006-7302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073745485 | Digestive Health Specialists, Pa | Internal Medicine | 112 Kinderton Blvd, Advance, NC 27006 | 2009-08-18 |
1023346731 | Hospital Medicine Specialists, Pllc | Physician Assistant | 112 Kinderton Blvd, Suite 110, Advance, NC 27006-7302 | 2009-11-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942811567 | Venessa Brunt | Home Health | 271 Orchard Park Drive, Advance, NC 27006 | 2020-08-17 |
1730707928 | Dara Elzena Green | Physical Therapist | 142 Hollybrook Dr, Advance, NC 27006 | 2020-07-14 |
1104339084 | Mark Curry Maynard | Registered Nurse | 125 W Robin Dr, Advance, NC 27006 | 2017-11-14 |
1457781585 | Christa Cook | Physical Therapist | 316 N Carolina 801, Advance, NC 27006 | 2013-11-27 |
1801029582 | Bonnie T. Bergen | Pharmacist | 260 Us Hwy 801 N, Advance, NC 27006 | 2009-08-28 |
1114101078 | Dr. Todd Carter D.d.s | Dentist | 123 Nc Highway 801 S. #c-100, Advance, NC 27006 | 2007-12-27 |
1437373883 | Adam T. Dorsett | Dentist | 127 Royal Troon Ln, Advance, NC 27006 | 2007-04-13 |
1861583882 | Todd H Carter | Dentist | 123 Nc Hwy 801 South, C-100, Advance, NC 27006 | 2006-09-27 |
1104927987 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 260 Highway 801, Advance, NC 27006 | 2006-09-26 |
1801837091 | Paramount Group Inc | Skilled Nursing Facility | 316 Highway 801 South, Advance, NC 27006 | 2006-06-09 |
Find all providers in zip 27006 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396342481 | Piedmont Asc LLC | Clinic/Center | 7819 National Service Rd Ste 404, Greensboro, NC 27409-9401 | 2020-10-02 |
1558983833 | Triad Center for Surgery, LLC | Clinic/Center | 180 Kimel Park Dr Ste 200, Winston Salem, NC 27103-6970 | 2020-05-10 |
1922639426 | Associated Health Services, Inc. | Clinic/Center | 5601 Arringdon Park Dr, Morrisville, NC 27560-5643 | 2020-02-03 |
1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
1528521887 | Novant Health Clemmons Outpatient Surgery, LLC | Clinic/Center | 7210 Village Medical Circle, Suite # 235, Clemmons, NC 27012 | 2019-04-12 |
1437623626 | Prime Surgical Suites, LLC | Clinic/Center | 180 Riverbend Dr, Granite Falls, NC 28630 | 2019-01-22 |
1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
1124594338 | Charlotte Surgery Center, LLC | Clinic/Center | 3621 Randolph Rd Ste 200, Charlotte, NC 28211-0027 | 2018-10-16 |
1750892659 | Novant Health Kernersville Outpatient Surgery LLC | Clinic/Center | 1730 Kernersville Medical Pkwy Ste 304, Kernersville, NC 27284-7198 | 2017-10-18 |
1821510579 | Novant Health Brunswick Endoscopy Center, LLC | Clinic/Center | 13 Medical Campus Dr, Suite 101, Supply, NC 28462 | 2017-07-14 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.